benzocaine (OTC)

Brand and Other Names:EjectDelay
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Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

gel/topical solution

  • 6.3%
  • 7.5%
  • 10%
  • 20%

liquid

  • 5%
  • 6.3%
  • 7.5%
  • 10%
  • 20%
more...

Bee Stings, Minor Burns, Sunburn, Insect Bites

Apply 5-20% to affected area q6-8hr PRN; remove sting prior to application if a bee sting

Mouth and Gum Irritation

Apply 10-20% solution (or other topical formulation) PRN

Sore Throat/Mouth Pain

1 lozenge dissolved in mouth; repeat q2hr PRN (generally use <2 days)

Apply 1 spray to affected area; spit after 1 min; may repeat up to 4 times

Hemorrhoids

Apply 5-20% externally to affected area q4hr

Dental pain

Use 2.5-20% solution (or other topical formulation) PRN

Boils

Apply 20% to affected area; not to exceed q12hr

Premature Ejaculation

EjectDelay (7.5% gel): Apply small amount to the penis gland 15-20 min before sexual intercourse

It can be applied with or without a condom

Washed off after intercourse

Dosage Forms & Strengths

gel/topical solution

  • 6.3%
  • 7.5%
  • 10%
  • 20%

liquid

  • 5%
  • 6.3%
  • 7.5%
  • 10%
  • 20%
more...

Teething Pain

<4 years

  • Safety and efficacy not established

≥4 years

  • Apply 7.5-10% to affected gum area; not to exceed q6hr

Bee Stings, Boils, Minor Burns, Sunburn, Insect Bites

<2 years

  • Safety and efficacy not established

≥2 years

  • Apply 5-20% to affected area q6-8hr PRN; remove sting prior to application if a bee sting

Mouth and Gum Irritation

<2 years: safety and efficacy not established

≥2 years: Apply 10-20% solution (or other topical formulation) PRN

Sore Throat/Mouth Pain

<5 years: Safety and efficacy not established

≥5 years

  • Oral lozenge: 1 lozenge dissolved in mouth; repeat q2hr PRN (generally use <2 days)
  • Oral spray: Apply 1 spray to affected area; spit after 1 min; may repeat up to 4 times

Hemorrhoids

<12 years: Safety and efficacy not established

≥12 years: Apply 5-20% externally to affected area q4hr

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Adverse Effects

Frequency Not Defined

Burning

Contact dermatitis

Edema

Pruritus

Erythema

Rash

Stinging tenderness

Urticaria

Methemoglobenemia

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Warnings

Contraindications

Hypersensitivity to benzocaine or other ester-type local anesthetics

Secondary bacterial infection of treated area

Cautions

Not for prolonged use

Risk of methemoglobinemia when used in mouth or throat

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Pregnancy & Lactation

Pregnancy Category: C

Lactation: excretion in milk unknown; use with caution

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

more...
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Pharmacology

Mechanism of Action

Local anesthetics prevent generation/conduction of nerve impulses by reducing sodium permeability and by increasing action potential threshold

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Images

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Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.